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7 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.evercHwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.0 PERMITJI <br /> 114 61st Pl SE 00784900003000 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION 0 <br /> DESC. <br /> OWNER ADORE99Zip.18263 PHONE <br /> Chong Huong 114 61st P1 SE Everett 984$3 425-232-4989 <br /> TENANTNAMIEI CONTACT FOR PERMIT PHONE 206-378-6630 <br /> Christiana Flajole E,MaL ctlafoleebobahaating.con <br /> CONTRACTOR Bob's Heating and A/C 13633 NE 126th PL Kir and 0-840-3346 <br /> CONTR.UCENSE tI Suite 350 <br /> BOBSHHA97906 <br /> USE OF BUILDINGI — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric X Gas Other 1900 <br /> WORK DESCRIPTION <br /> Like for like furnace replacement <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FD(TURE OR ITEM <br /> Toilet AIC—air_ Bathtub T_ Forced air handling <br /> systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Water heater <br /> _ Kitchen sink 6 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washer Clothes dryer <br /> _ Water heater Range Mod <br /> _ Sink(service/badmopletc.) _ Exhaust fan <br /> _ Bacldlow pre renter _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> _ Floor drain _ Refrigeration <br /> _ Grease trap _ Woodstove <br /> Roof drains — Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> 1 hereby certify that I have road and examined this application and know the san—to be true and correct. All provisions Of laws and <br /> ordinances governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the prevision of any other state or local law regulating construction or the performance of <br /> construction. That I am authorized by the owner of this property to perform the work for which application Is made and 1 comply with the <br /> S rt to arty 8.27 RCW and 296.200 WAC. <br /> 11/28/11 <br /> 546mulre of Civvn I onlractor/Authorized Agent ate <br /> toen znDD@I YVA LG:LO 1107/97/II <br />